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Impact of a 3-Month Recall Using High-Fidelity Simulation or Screen-Based Simulation on Learning Retention During
Anne-Claire Louvel1, Cécile Dopff1, Gauthier Loron2,3
1Department of Anesthesia and Intensive Care, Hôpital Bichat-Claude-Bernard, Paris, France.
JMIR Serious Games
|March 21, 2025
Summary
Screen-based simulation effectively enhances nontechnical skills in neonatal resuscitation training. This method, along with high-fidelity simulation, improves resident confidence and skills retention over six months.
Area of Science:
- Medical Education
- Simulation-Based Training
- Neonatal Resuscitation
Background:
- Optimal learning intervals and methods for knowledge retention are crucial for medical training.
- Screen-based simulation offers a potentially accessible alternative for retraining in neonatal resuscitation.
Purpose of the Study:
- To evaluate the benefits of 3-month recall sessions using high-fidelity simulation (HFS) versus screen-based simulation (SBS).
- To assess skill retention 6 months after initial neonatal resuscitation training for anesthesia and intensive care residents.
Main Methods:
- Residents received initial training (theory and HFS) and were randomized into three groups: no recall, HFS recall, or SBS recall.
- Skills were reassessed at 6 months using HFS, with primary outcomes including technical (Neonatal Resuscitation Performance Evaluation score) and nontechnical (Anesthesia Non-Technical Skills score) skills.
- Secondary outcomes included knowledge quizzes and self-confidence assessments.
Main Results:
- No significant differences between groups at 6 months, but all groups showed improved knowledge and self-confidence over time.
- Both HFS and SBS recall groups demonstrated significant improvement in nontechnical skills compared to the control group.
- A trend toward technical skill improvement was observed in recall groups, while the control group showed regression; self-confidence was highest in recall groups.
Conclusions:
- Initial neonatal resuscitation training provides lasting knowledge and self-confidence benefits.
- 3-month recall sessions, particularly SBS, enhance nontechnical and technical skills, proving effective for retraining.
- Further research with larger sample sizes is warranted to confirm the role of serious games in medical education.
